70岁高龄男性助孕引发的问题及伦理思考

报道了1例70岁高龄男性的助孕情况,探讨了高龄男性生育现状、高龄男性助孕存在的问题以及助孕易于引发的伦理问题。意在提醒生殖中心工作人员在接诊高龄男性患者助孕时,既要尊重其与配偶的生育权,又要充分告知高龄男性生育给自身、配偶及后代带来的风险。助孕前应加强医患沟通,遵循有利于患者原则、知情同意原则、有利于后代原则,同时接受伦理委员会的监督,严防技术滥用,适时劝导高龄男性患者放弃助孕治疗。     

环境公正:和谐社会的基本前提

人与人的和谐是和谐社会的“底线要求”,人与社会的和谐是和谐社会的核心所在,而人与自然的和谐是和谐社会的基本前提。人与自然和谐集中体现为环境公正。它首先是指人与自然物种之间的种际公正,具体体现为两个维度的公正：在空间维度上,要促进国际公正、族际公正、域际公正、群际公正;在时间维度上具有代际公正意识。     

老年甲状腺结节的诊治经验

介绍笔者及科室老年甲状腺结节的诊治经验,对2003年1月至2009年12月期间共收治的144例年龄大于60岁的老年甲状腺结节患者进行分析和总结。老年甲状腺结节以多发为主;压迫症状、异物和不适感、继发性甲状腺功能亢进是老年甲状腺结节患者主要的手术指证;术中发现喉返神经和甲状旁腺有脂肪沉着;病理方面良性结节的钙化率较高;患者术后切口水肿比较明显;暂时性低钙血症的发生率较高;虽然术前麻醉ASA评分较低,但术后心肺并发症的发生率并未上升。老年甲状腺结节患者以全麻为宜,最好采用双甲近全切除术,这不仅可避免术后复发和再次手术率,更可减少甲状腺素制剂的用量,减少药物副作用。     

The effect of gambling activities on happiness levels of nursing home residents

The current study evaluated the effect of participating in simulated gambling activities on happiness levels of 3 nursing home residents. A 4‐component analysis was used to measure objective responses associated with happiness during baseline, varying durations of engagement in simulated gambling activities, and 2 follow‐up periods. Results indicated that all residents exhibited a higher percentage of happiness levels while engaged in simulated gambling activities compared with baseline. Follow‐up assessment took place 10 min and 30 min following the intervention; no lasting effects were observed.     

Race and sex in a lifetime

Abstract: The Jungian analysts who participated in the writing of this paper 1 explicitly or implicitly address issues of social and political stasis, retrogression and change via their particular usages of the concept of the transcendent function. Singer proposes that the transcendent function is a term that is usually applied to individuals in whom symbolic material appears that suggests the reconciling of opposites, leading to psycho‐spiritual growth. He also looks at the notion of the transcendent function as it can appear in a similar way in the collective psyche. In addition, he gives attention to the opposite phenomenon—what might be called the descendent function—as it appears in the collective psyche and its leadership, wherein symbolic material can create the division of groups of people into opposites, mobilizing destructive rather than transformative experience. Meador states that Jung designated the mediating process of assimilating unconscious images and ideas into consciousness as the transcendent function. Just as this synthesizing process can produce insight in the individual, it can also be applied to changes in collective society. Embedded collective assumptions tend to shift when opposites collide, as they did, for example, in the turmoils of the 1960s. Her contribution focuses on the recent revolution in racial and sexual attitudes as the product of a collective struggle between certain ingrained social mores from the past and conflicting new points of view. Samuels’ conclusion is that the concept of the transcendent function has little value with respect to political problems. His contribution focuses on: (i) The limitations of using ideas (such as the transcendent function) derived from analysis with individuals in furtherance of an understanding of social and political phenomena. (ii) The specific problem of a lack of credible psycho‐political models for social progress and regress—he argues that the transcendent function is not useful in this regard. (iii) The question of political aggression, violence and conflict in society is explored from the standpoint of the transcendent function so as to investigate its possible role in the management of political conflict. Samuels severely criticizes what he terms ‘triangulation’ and ‘hyper‐reflection’ on the part of analysts who engage with political debates and issues. (iv) Leadership is examined from the standpoint of the transcendent function which, again, does not seem pertinent. Rather, new discoveries in family psychology about the role of the father have greater possibilities as a basis for new thinking about leadership.     

Rational Natural Law and German Sociology: Hobbes,Locke and Tönnies

While the roots of modern German sociology are often traced back to historicism, the importance of rational natural law in the inception of the founding work of German sociology, Gemeinschaft und Gesellschaft by Ferdinand Tönnies, intended as a ‘creative synthesis’ between rational natural law and romantic historicism, should not be overlooked. We show how in his earliest scholarly work on Thomas Hobbes and John Locke the shift in the meaning of the two concepts ‘Gemeinschaft’ and ‘Gesellschaft’ represents a departure from early liberal enlightenment to a Weltanschauung marked by romantic authors such as Fichte, Novalis and Haller, by Schopenhauer, Nietzsche, Spencer and Marx, notwithstanding Tönnies' adherence to the political and social values of a liberal civil society.     

Differences in Rapid Initiation and Termination of Voluntary Postural Sway Associated with Ageing and Falls-Risk

The authors examined differences between young adults (n = 25) and healthy older adults (n = 48) in reaction time and the relations between center of pressure (COP) and center of mass (COM) motions during rapid initiation and termination of voluntary postural sway. Older adults were divided into low and high falls-risk groups based on Physiological Profile Assessment scores of sensorimotor function. Low falls-risk older adults had slower reaction times during anteroposterior sway initiation and decreased COP–COM separation during anteroposterior and medialateral sway initiation and anteroposterior continuous voluntary sway compared with young adults. High falls-risk older adults had slower initiation and termination reaction times in all response directions and decreased COP–COM separation during sway initiation and continuous voluntary sway in the anteroposterior and medialateral directions compared with young adults. Compared with low falls-risk older adults, high falls-risk older adults had slower initiation and termination reaction times in all response directions and decreased COP–COM separation during medialateral continuous voluntary sway. Reaction time and COP–COM measures significantly predicted group status in discriminant models with sensitivities and specificities of 72–100%. Overall, these findings highlight important associations of age-related declines in sensorimotor function related to an increased risk of falling with slower postural reaction time and reduced postural stability.     

Social trauma: The pathogenic effects of untoward social conditions

Abstract

Psychoanalysis has traditionally overlooked the fact that unsuitable and damaging life conditions, originating in the social milieu, play a part in the pathogenesis of emotional suffering and mental disorders. Nonetheless, the self establishes an object relation with the social system, as well as with the non-human environment. This is expected to act as a container–contained relationship. Whenever the community and its institutions fail to act as a container for individuals and groups, this generates a trauma, which can be compared with the baby's experience of a failure in mothering. Such failures can be classified in several categories. The first is when the social system fails to contain, nurture, care for, and protect individuals, as in the case of the lack of assistance and compassion towards the victims of poverty, disease, natural catastrophe, social turmoil, economic crisis, violence, or war. The second category occurs when there is a blatant attack, on the part of the authorities or privileged social groups, on minorities, or even on the bulk of the population, as in the case of social repression, war—both internal and external—racism, genocide, or persecution. The third is when there is a perversion of the social system, which feigns to uphold current social values and laws while actually breaking them, as in the case of corruption, chicanery, and mendacity on the part of the authorities. One recent example of this is the impeachment process against the Chief of Government of Mexico City. The author approaches this problem by exploring the consequences of such experiences for the development and functioning of personality structure and personal relations, as well as their repercussions for individuals living together in the community and for the necessary relation between them and the authorities.     

Post-Christendom,Post-Constantinian,Post-Christian … Does the Label Matter?

The demise of Christendom is of fundamental significance in understanding the present and future relationship between the churches and European culture. Attempts to develop post-Christendom perspectives are hindered by linguistic and conceptual confusion. This article explores misleading implications of the terms ‘post-Constantinian’ and ‘post-Christian’ and argues for the consistent use of the term ‘post-Christendom’. Use of the terms ‘Christendom’ and ‘post-Christendom’ has been criticised for failing to differentiate between different kinds of Church–state partnerships, some of which may be less problematic than others. This article acknowledges such historical differences but argues that there is an underlying ideological unity susceptible of being described and investigated under these labels. It argues further that attempts to promote a benign expression of Christendom as a possible future for Europe are unwise. It summarises the transitions occurring as Europe journeys beyond Christendom and argues for creative engagement with post-Christendom as an opportunity for ecclesial renewal.